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General NPI Number Information
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NPI Number | 1124452602
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Entity Type | Individual
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Provider Name | YURIELYS VAZQUEZ COTTO PT
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Gender | Female
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Dates
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Enumeration Date | 09/03/2013
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Last Update Date | 09/03/2013
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Provider Practice Location Address
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Address Line | AVE ORQUIDEA # 5 REPARTO VALENCIA
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City | BAYAMON
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State | PR
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Zip | 00956
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Country | US
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Telephone | 787-780-4360
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Fax |
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Provider Business Mailing Address
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Address Line | HC 5 BOX 6690
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City | AGUAS BUENAS
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State | PR
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Zip | 00703-9083
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Country | US
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Telephone | 787-732-2247
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 8296
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License Number State | PR
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